Individual
KRISTI ANN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 WILLAMETTE ST, UMATILLA, OR 97882-6601
(541) 701-4329
Mailing address
290 WILLAMETTE ST, UMATILLA, OR 97882-6601
(541) 922-0880
(541) 922-2820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
23-QMHA-II-000182
OR
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/28/2012
Last updated
01/04/2024
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